Healthcare Provider Details

I. General information

NPI: 1255646220
Provider Name (Legal Business Name): NOAH OJONUGWA AGADA MD., MPH, FAAAI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2010
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 W MARKET ST STE B
GREENSBORO NC
27407-1231
US

IV. Provider business mailing address

144 E KING ST UNIT 792
HILLSBOROUGH NC
27278-0319
US

V. Phone/Fax

Practice location:
  • Phone: 336-733-9016
  • Fax: 336-500-8335
Mailing address:
  • Phone: 336-733-9016
  • Fax: 336-500-8335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2013-01403
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number2013-01403
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: